Active NPI
Smitha Oommen D'Cruz
- Occupational Therapist
- Millburn, NJ
National Provider Identifier
1174832240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005545-1
- Practice address
- 72 Sagamore Rd
Millburn, NJ 07041-2153 - Phone
- (718) 698-6721
- NPI assigned
- Oct 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005545-1 | NY | Primary |
Addresses
Primary practice location
72 Sagamore Rd
Millburn, NJ 07041-2153
Mailing address
72 Sagamore Rd
Millburn, NJ 07041-2153
Phone (718) 698-6721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005545-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1174832240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 SAGAMORE RD",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070412153",
"telephone_number": "718-698-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 SAGAMORE RD",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070412153",
"telephone_number": "718-698-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'CRUZ",
"first_name": "SMITHA",
"middle_name": "OOMMEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-06",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005545-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.